Individual provider · NPI-1

Tracy Dawn Logsdon, CPNP

Nurse Practitioner, Pediatrics · Crestview, FL

NPI number1699789271
StatusActive
Last updated in NPPESFeb 16, 2026

Details

NPI
1699789271
Entity type
Individual (NPI-1)
Name
Ms. Tracy Dawn Logsdon
Credential
CPNP
Sex
Female
Sole proprietor
No
Enumeration date
Jul 28, 2006
Certification date
Feb 16, 2026
Last updated
Feb 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics3311592FLYes

Practice location

160 E Redstone Ave
Crestview, FL 32539-5348

Phone 850-689-0555

Mailing address

160 E Redstone Ave
Crestview, FL 32539-5348

Phone 850-689-0555

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